My second birth plan (just in case of hospital transfer as I had a HB)

Birth Plan: xxx

Husband: xxx
Midwives: xxx

Labour & Birth
I do NOT consent to vaginal exams.

I do NOT consent to artificial rupture of membranes.

I do NOT consent to an episiotomy.

Do not offer pain relief medications. I am aware of my options and will ask for them if desired.

I am reluctant to undergo an instrumental delivery and would like to discuss further options should forceps or ventouse be required.

I would like to discuss all interventions in private with my support team before making a decision.

My husband and I wish to discover the gender of our baby.

I wish to have a physiological third stage and do NOT consent to the use oxytocics unless life is at stake.

I wish to delay the clamping of the cord until it ceases pulsating and I wish to cut the cord myself.

If stitches are required I wish for them to given by a consultant only. Having suffered previous trauma from stitches I may decline to be stitched and wish to discuss this further at the time.

Baby Care
I do NOT consent to the administration of vitamin K or Hep B vaccine.

I do NOT consent to the use of formula. If baby needs feeding my milk is to be expressed, even if unconscious.

Written consent must be obtained from us before ANY procedures are carried out on baby.

Caesarean Birth
My partner and midwife are to accompany me into surgery and recovery.

I wish to have a spinal block, as opposed to a general anaesthetic.

Baby is to placed skin to skin on my chest immediately after birth, while still in theatre, and we are not to be separated unless life is at stake.

I wish for my uterus to be stitched with double-layer uterine stitching.

I wish to establish breastfeeding while in recovery.

If baby needs to be taken to special care then baby’s father, xxx, is to remain with baby at all times.